| NPI | 1386094340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BOYLE Director 650-255-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |