Provider Demographics
NPI:1407686801
Name:SISTER WARRIORS FREEDOM COALTION
Entity type:Organization
Organization Name:SISTER WARRIORS FREEDOM COALTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-703-8800
Mailing Address - Street 1:832 FOLSOM ST STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1142
Mailing Address - Country:US
Mailing Address - Phone:510-424-7428
Mailing Address - Fax:
Practice Address - Street 1:832 FOLSOM ST STE 700
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1142
Practice Address - Country:US
Practice Address - Phone:510-424-7428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUNG WOMEN'S FREEDOM CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health