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Miss Charlene Jade Crisostomo Premyodhin
Community/Behavioral Health Agency in San Francisco, California
NPI 1225249071

Charlene Jade Crisostomo Premyodhin is a Community/Behavioral Health Agency based in San Francisco, CA. Charlene Jade Crisostomo Premyodhin practices in San Francisco, CA. The NPI Number for Charlene Jade Crisostomo Premyodhin is 1225249071 and holds a License No. (California).

The current practice location address for Charlene Jade Crisostomo Premyodhin is 312 Plymouth Ave, San Francisco, CA and can be reached out via phone at 714-452-7776 and via fax at 415-776-1006. You can also correspond with Charlene Jade Crisostomo Premyodhin through the mailing address at 312 PLYMOUTH AVE, SAN FRANCISCO, CA - 94112-3026 (mailing address contact number: ).

Location: 312 Plymouth Ave, San Francisco, CA, 94112-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225249071
Provider Name
Charlene Jade Crisostomo Premyodhin
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 Plymouth Ave, San Francisco, CA, 94112-3026
Phone Number
714-452-7776
Fax Number
415-776-1006
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
38BF3 05 CA
institution
Provider Business Practice Location Address Details
Address
312 Plymouth Ave
City
San Francisco
State
California
Zip
94112-3026
Phone Number
714-452-7776
Fax Number
415-776-1006
person
Provider Business Mailing Address Details
Address
312 Plymouth Ave
City
San Francisco
State
California
Zip
94112-3026
Phone Number
714-452-7776
Fax Number
415-776-1006
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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