Provider Demographics
NPI:1144688060
Name:YMCA OF SAN FRANCISCO
Entity type:Organization
Organization Name:YMCA OF SAN FRANCISCO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-777-9622
Mailing Address - Street 1:50 CALIFORNIA ST
Mailing Address - Street 2:SUITE 650
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-4624
Mailing Address - Country:US
Mailing Address - Phone:415-777-9622
Mailing Address - Fax:415-398-9622
Practice Address - Street 1:1601 LANE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2732
Practice Address - Country:US
Practice Address - Phone:415-822-7728
Practice Address - Fax:415-822-7769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health