Provider Demographics
NPI:1144658634
Name:SIXTH STREET SELF-HELP CENTER
Entity type:Organization
Organization Name:SIXTH STREET SELF-HELP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-749-2132
Mailing Address - Street 1:290 TURK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3808
Mailing Address - Country:US
Mailing Address - Phone:415-749-2100
Mailing Address - Fax:415-749-2136
Practice Address - Street 1:169 6TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2829
Practice Address - Country:US
Practice Address - Phone:415-369-3040
Practice Address - Fax:415-546-5260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL CITY HOSPITALITY HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health