| NPI | 1225327786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LOPEZ Family Specialist 415-507-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |