| NPI | 1114249364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTI R MITHAL Social Worker 650-367-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 1063509125) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |