Healthcare Provider Details

I. General information

NPI: 1033034236
Provider Name (Legal Business Name): HEALTHRIGHT 360
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 HAYES ST
SAN FRANCISCO CA
94117-2615
US

IV. Provider business mailing address

890 HAYES ST
SAN FRANCISCO CA
94117-2615
US

V. Phone/Fax

Practice location:
  • Phone: 415-762-3705
  • Fax:
Mailing address:
  • Phone: 415-762-3705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH ROSE LANTIS
Title or Position: RESIDENTIAL CASE MANAGER
Credential: SUDRC I #26243
Phone: 415-748-7313