Provider Demographics
NPI:1891532891
Name:DALY CITY PENINSULA PARTNERSHIP COLLABORATIVE
Entity type:Organization
Organization Name:DALY CITY PENINSULA PARTNERSHIP COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANCIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-301-3300
Mailing Address - Street 1:725 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2163
Mailing Address - Country:US
Mailing Address - Phone:650-301-3300
Mailing Address - Fax:
Practice Address - Street 1:725 PRICE ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2163
Practice Address - Country:US
Practice Address - Phone:650-301-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty