Provider Demographics
NPI:1003057225
Name:RAMS PAES PRE-VOCATIONAL SERVICES
Entity type:Organization
Organization Name:RAMS PAES PRE-VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEER COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:BINH
Authorized Official - Middle Name:QUI
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-558-1374
Mailing Address - Street 1:195 SILVER AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124
Mailing Address - Country:US
Mailing Address - Phone:415-467-7719
Mailing Address - Fax:
Practice Address - Street 1:1235 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2705
Practice Address - Country:US
Practice Address - Phone:415-467-7719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA90340439A87337Medicaid