| NPI | 1568742823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DARNALE RAY Ccw 415-681-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |