| NPI | 1104011097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIKO KANEZAKI Owner Administrator 415-333-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |