| NPI | 1073791620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA R PAHED Administrator 415-285-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |