| NPI | 1003010695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LEILA KAHLON Inte RN 415-351-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |