| NPI | 1508046608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO GUBATINA Licensee/Administrator 415-584-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |