Healthcare Provider Details

I. General information

NPI: 1396545539
Provider Name (Legal Business Name): YOUNG WOMEN'S FREEDOM CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PARKMOOR AVE STE 206
SAN JOSE CA
95126-3798
US

IV. Provider business mailing address

832 FOLSOM ST STE 700
SAN FRANCISCO CA
94107-1142
US

V. Phone/Fax

Practice location:
  • Phone: 415-703-8800
  • Fax:
Mailing address:
  • Phone: 415-703-8800
  • Fax:

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: AMIKA MOTA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-703-8800