| NPI | 1023876075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE TINERVIN President Of Operations 415-450-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-04-26 |