| NPI | 1093993651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUILINA E BAUTISTA Administrator 415-239-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |