| NPI | 1366637357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE CAREY Licensee/Administrator 415-641-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |