Diamond Lodge
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · SF, CA
NPI 1215119375 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1215119375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- DIAMOND LODGE
- Practice address
- 20 Arlington St
SF, CA 94131 - Phone
- (415) 285-0688
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Annie Mayo Jacob
- Title
- Owner Administrator
- Phone
- (415) 577-1004
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
20 Arlington St
SF, CA 94131
Mailing address
1135 Tournament Drive
SF, CA 94131
Phone (415) 285-0688
Other providers in SF, CA
- Peter Chukwuka Benedith
- Susan Chen
- Jane Honda Chinn
- I-Ting Chuang
- Harvey M Deutch
- Charles B Engelberg
- Verna C Gibbs
- Marjory Hall
- Vanessa D Hamilton
- Helga Justman
All providers in SF, CA · Mental Illness Community Based Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.