Organization Active NPI

Greater San Francisco Teen Challenge

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1417898503
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GREATER SAN FRANCISCO TEEN CHALLENGE
Practice address
1464 Valencia St
San Francisco, CA 94110-3717
Phone
(415) 285-1353
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tyler James Moore Poole, SUDRC1
Title
Extended Program Coordinator
Phone
(415) 678-0627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1464 Valencia St
San Francisco, CA 94110-3717

Mailing address

1464 Valencia St
San Francisco, CA 94110-3717
Phone (415) 285-1353

National Provider Directory

National Provider Directory

Locations

1464 Valencia St
San Francisco, CA 94110
Phone (415) 285-1353

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1417898503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 VALENCIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103717",
            "telephone_number": "415-285-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 VALENCIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103717",
            "telephone_number": "415-285-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SAN FRANCISCO TEEN CHALLENGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JAMES MOORE",
        "authorized_official_title_or_position": "EXTENDED PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "415-678-0627",
        "authorized_official_credential": "SUDRC1"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.