=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033565841
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOMELESS CHILDRENS NETWORK
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2016
-----------------------------------------------------
Last Update Date | 05/18/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3450 3RD ST BLDG 1
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94124-1443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-437-3990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3450 3RD ST BLDG 1
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94124-1443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | APRIL SILAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 415-437-3990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | IMF92274
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------