Conard House Jackson Street Residential Program in San Francisco - Psychiatric Residential Treatment Facility
Conard House Jackson Street Residential Program - NPI 1588860977
Conard House Jackson Street Residential Program is a Psychiatric Residential Treatment Facility in San Francisco, California. Conard House Jackson Street Residential Program practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Conard House Jackson Street Residential Program is 1588860977. The last update date is 2020-08-22.
Conard House Jackson Street Residential Program's current location address is 2441 Jackson St, San Francisco, California. You can contact this provider via phone number 4153466380 and fax number 4153461058. The mailing address for Conard House Jackson Street Residential Program is 2441 Jackson St, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Conard House Jackson Street Residential Program |
|---|---|
| Address | 2441 Jackson St, San Francisco, California |
| Phone Number | 4153466380 |
| Fax Number | 4153461058 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Foo Louise |
| Credentials | PH.D. |
| Telephone Number | 4153466380 |
NPI Number Detail
| NPI Number | 1588860977 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2441 Jackson St |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941151324 |
| Phone Number | 4153466380 |
| Fax Number | 4153461058 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Conard House Jackson Street Residential Program by the Centers for Medicare & Medicaid Services?
The Conard House Jackson Street Residential Program has been issued the NPI (National Provider Identifier) 1588860977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Conard House Jackson Street Residential Program's facilities are geographically located?
The facilities of Conard House Jackson Street Residential Program are physically situated at the following location: 2441 Jackson St, San Francisco, CA, 941151324.
What is Conard House Jackson Street Residential Program's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Conard House Jackson Street Residential Program is Psychiatric Residential Treatment Facility, and the taxonomy classification code that categorizes this area of expertise is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588860977 to Conard House Jackson Street Residential Program?
The Centers for Medicare & Medicaid Services originally issued the 1588860977 to Conard House Jackson Street Residential Program on 2007-06-22.
As of what date were the details related to Conard House Jackson Street Residential Program most recently updated or revised?
The information pertaining to Conard House Jackson Street Residential Program, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY