| NPI | 1326885682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA BURR Director Of Payer Strategies 650-770-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |