Provider Demographics
NPI:1942537204
Name:CALIFORNIA INSTITUTE OF INTEGRAL STUDIES
Entity Type:Organization
Organization Name:CALIFORNIA INSTITUTE OF INTEGRAL STUDIES
Other - Org Name:INTEGRAL COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUBBIONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-575-6112
Mailing Address - Street 1:1453 MISSION ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2561
Mailing Address - Country:US
Mailing Address - Phone:415-575-6112
Mailing Address - Fax:415-575-1263
Practice Address - Street 1:1453 MISSION ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2561
Practice Address - Country:US
Practice Address - Phone:415-575-6112
Practice Address - Fax:415-575-1263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)