Divisadero Health Services of New Jersey, P.c.
NPI #1609691369 in San Francisco, California
Provider Information
- NPI Number
- 1609691369
- Entity Type
- Organization
- Organization Name
- Divisadero Health Services of New Jersey, P.c.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 18, 2024
- Last Updated
- Nov 18, 2024
Practice Location
- Address
- 2193 FILLMORE ST # 35
- City
- San Francisco
- State
- California
- ZIP Code
- 94115-2223
- Phone
- (415) 725-5422
Authorized Official
- Name
- KIMBERLY NEWELL GREEN, MD
- Title
- OWNER
- Phone
- (415) 725-5422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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