| NPI | 1619393675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MENDOZA Ad Operations 415-864-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 89492) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |