| NPI | 1043056245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KECK Chief Executive Officer 650-222-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-02-26 |