Provider Demographics
NPI:1245647403
Name:DISABLEDCOMMUNITY.ORG
Entity type:Organization
Organization Name:DISABLEDCOMMUNITY.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIDOS
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:415-508-6130
Mailing Address - Street 1:2018 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1215
Mailing Address - Country:US
Mailing Address - Phone:415-707-9680
Mailing Address - Fax:
Practice Address - Street 1:2018 23RD AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1215
Practice Address - Country:US
Practice Address - Phone:415-707-9680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty