Provider Demographics
NPI:1861681868
Name:CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Other - Org Name:SAN FRANCISCO BOYS' & GIRLS' HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR. OF CONTRACTS & GRANTS
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:BABETTE
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-972-1211
Mailing Address - Street 1:1555 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3015
Mailing Address - Country:US
Mailing Address - Phone:415-972-1211
Mailing Address - Fax:
Practice Address - Street 1:750 33RD AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-3428
Practice Address - Country:US
Practice Address - Phone:415-668-0190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2022-06-01
Deactivation Date:2021-11-23
Deactivation Code:
Reactivation Date:2022-06-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health