Organization · NPI-2
Coastal Learning And Behavioral Services, INC.
Early Intervention Provider Agency · San Francisco, CA
NPI number1699153734
StatusActive
Last updated in NPPESMay 8, 2015
Details
- NPI
- 1699153734
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Learning And Behavioral Services, INC.
- Organization subpart
- No
- Enumeration date
- May 8, 2015
- Last updated
- May 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
600 Portola Dr Apt 10San Francisco, CA 94127-1242
Phone 415-531-1079
Mailing address
600 Portola Dr Apt 10San Francisco, CA 94127-1242
Phone 415-531-1079
Authorized official
Sherry Spencer
Ceo
4155311079
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