NPI | 1407118805 |
---|---|
Doing Business As | WOMEN'S RECOVERY ASSOCIATION - HILLSIDE HOUSE ONE |
Entity Type | Organization |
Authorized Contact | VITKA EISEN CEO 415-762-1558 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 410002IN) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2012-06-12 |
Last Update Date | 2014-05-13 |