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NPI Code Detail

MEDICARE: WESTSIDE COMMUNITY MENTAL HEALTH CENTER

MEDICARE: WESTSIDE COMMUNITY MENTAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1902962772
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTSIDE COMMUNITY MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 1153 OAK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2216
Country : US
Telephone Number : 415-431-9000
Fax Number : 415-431-1813
Provider Business Practice Location Address
First Line : 1153 OAK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2216
Country : US
Telephone Number : 415-431-9000
Fax Number : 415-431-1813
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : SHALECE BOOKER
Credential :
Telephone Number : 415-431-9000
Provider Enumeration Date : 12/28/2006
Last Update Date : 08/31/2021

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Directions to “WESTSIDE COMMUNITY MENTAL HEALTH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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