Provider Demographics
NPI:1013076843
Name:SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
Entity Type:Organization
Organization Name:SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
Other - Org Name:COMMUNITY BEHAVIORAL HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH WORKER III
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:BS HUMAN SERVICES
Authorized Official - Phone:415-970-3800
Mailing Address - Street 1:3801 3RD ST
Mailing Address - Street 2:BUILDING B, SUITE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1409
Mailing Address - Country:US
Mailing Address - Phone:415-970-3800
Mailing Address - Fax:415-970-3855
Practice Address - Street 1:3801 3RD ST
Practice Address - Street 2:BUILDING B, SUITE 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1409
Practice Address - Country:US
Practice Address - Phone:415-970-3800
Practice Address - Fax:415-970-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3472OtherSTAFF ID