| NPI | 1508410341 |
|---|---|
| Other Name | FYCH PALO ALTO HOUSE |
| Entity Type | Organization |
| Authorized Contact | GLORETA JOHNSON CEO 559-917-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2021-11-16 |