Dph /special Programs for Youth
NPI #1205001245 in San Francisco, California
Provider Information
- NPI Number
- 1205001245
- Entity Type
- Organization
- Organization Name
- Dph /special Programs for Youth
- Primary Specialty
- Point of Service
- Enumeration Date
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 375 WOODSIDE AVE # 3
- City
- San Francisco
- State
- California
- ZIP Code
- 94127-1221
- Phone
- (415) 753-7784
Authorized Official
- Name
- DR. PIERRE MARIE ROSE, MD
- Title
- DIRECTOR
- Phone
- (415) 753-7782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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