NPI | 1174701734 |
---|---|
Entity Type | Organization |
Authorized Contact | CEASAR PULIDO GREPO Licensee Administrator 415-285-9866 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-06 |