NPI | 1225201031 |
---|---|
Doing Business As | [email protected] |
Other Name | PROGRESS FOUNDATION DORE RESIDENCE |
Entity Type | Organization |
Authorized Contact | STEVEN FIELDS Executive Director 415-861-0828 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 3899210040) |
Enumeration Date | 2008-04-12 |
Last Update Date | 2022-11-13 |