Healthcare Provider Details

I. General information

NPI: 1013202621
Provider Name (Legal Business Name): APA FAMILY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NOTTINGHAM PL
SAN FRANCISCO CA
94133-4523
US

IV. Provider business mailing address

10 NOTTINGHAM PL
SAN FRANCISCO CA
94133-4523
US

V. Phone/Fax

Practice location:
  • Phone: 415-617-0061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: FANNY LAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-617-0061