Jerick L. Jumadiao, Secretary
Community Based Residential Treatment Facility, Mental Illness in San Francisco, CA. Individual provider (NPI-1).
NPI number1144582008
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1144582008
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerick L. Jumadiao
- Credential
- Secretary
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2012
- Last updated
- Jun 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | CA | Yes |
Practice location
433 Turk StSan Francisco, CA 94102-3329
Phone 415-928-7800
Mailing address
433 Turk StSan Francisco, CA 94102-3329
Phone 415-928-7800
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