Provider Demographics
NPI:1669582482
Name:HENRY OHLHOFF HOUSE
Entity type:Organization
Organization Name:HENRY OHLHOFF HOUSE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLRABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-626-9782
Mailing Address - Street 1:601 STEINER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-2509
Mailing Address - Country:US
Mailing Address - Phone:415-626-9782
Mailing Address - Fax:415-431-5859
Practice Address - Street 1:601 STEINER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2509
Practice Address - Country:US
Practice Address - Phone:415-626-9782
Practice Address - Fax:415-431-5859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380013AN261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder