| NPI | 1285754978 |
|---|---|
| Doing Business As | ADULT RESIDENTIAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | SHARON MCCOLE WICHER Director, Behavioral Health 415-206-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 389210019) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |