Provider Demographics
NPI:1295921328
Name:SAN FRANCISCO PRETRIAL DIVERSION PROJECT
Entity type:Organization
Organization Name:SAN FRANCISCO PRETRIAL DIVERSION PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUROFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-341-4637
Mailing Address - Street 1:567 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4709
Mailing Address - Country:US
Mailing Address - Phone:415-626-4995
Mailing Address - Fax:415-626-3871
Practice Address - Street 1:236 8TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3965
Practice Address - Country:US
Practice Address - Phone:415-626-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty