Healthcare Provider Details

I. General information

NPI: 1205950466
Provider Name (Legal Business Name): NEW LEAF SERVICES FOR OUR COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HAYES ST
SAN FRANCISCO CA
94102
US

IV. Provider business mailing address

1390 MARKET ST SUITE 800
SAN FRANCISCO CA
94102-5402
US

V. Phone/Fax

Practice location:
  • Phone: 415-626-7000
  • Fax: 415-255-2101
Mailing address:
  • Phone: 415-255-2165
  • Fax: 415-255-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN M HARLOW
Title or Position: CLINICAL DIRECTOR
Credential: MFT
Phone: 415-626-7000