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 |