| NPI | 1013115732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DALE LLOYD General Partner 415-897-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 55G139) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |