Doctor Name: | MR. ALBERTO JAVIER SANTELLAN |
NPI Number: | 1073912846 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 114 Toyon Ave South San Francisco, CA - 940804541 |
Business Phone Number: | 6504386195 |
Business Fax Number: | |
Mailing Address: | 114 Toyon Ave, SOUTH SAN FRANCISCO |
State: | CA |
Postal Code: | 940804541 |
Phone Number: | 6504386195 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2014 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |