| NPI | 1134323850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MCCORMICK Executive And Clinical Director 415-499-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA not applicable) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |