| NPI | 1043056245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KECK Chief Executive Officer 650-750-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-10-16 |