Healthcare Provider Details

I. General information

NPI: 1619182409
Provider Name (Legal Business Name): COMMUNITY AWARENESS & TREATMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 02/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 S VAN NESS AVE
SAN FRANCISCO CA
94110-1305
US

IV. Provider business mailing address

637 S VAN NESS AVE
SAN FRANCISCO CA
94110-1305
US

V. Phone/Fax

Practice location:
  • Phone: 650-366-5723
  • Fax: 650-366-5326
Mailing address:
  • Phone: 650-366-5723
  • Fax: 650-366-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JANET MARIAN GOY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-241-1194