Healthcare Provider Details

I. General information

NPI: 1356591606
Provider Name (Legal Business Name): ALTERNATIVE FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 EXECUTIVE PARK BLVD #4600 & #4900
SAN FRANCISCO CA
94134-3394
US

IV. Provider business mailing address

1421 GUERNEVILLE RD SUITE 218
SANTA ROSA CA
95403-7220
US

V. Phone/Fax

Practice location:
  • Phone: 415-656-0116
  • Fax: 415-656-0117
Mailing address:
  • Phone: 707-576-7700
  • Fax: 707-576-9700

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: MARSHA LEWIS-AKYEEM
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.
Phone: 916-202-7480