Provider Demographics
NPI:1447096391
Name:FELTON INSTITUTE
Entity type:Organization
Organization Name:FELTON INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL & OPERATIONS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-474-7310
Mailing Address - Street 1:365 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4489
Mailing Address - Country:US
Mailing Address - Phone:415-474-7310
Mailing Address - Fax:415-474-9934
Practice Address - Street 1:365 FULTON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4489
Practice Address - Country:US
Practice Address - Phone:415-474-7310
Practice Address - Fax:415-474-9934
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FELTON INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health