| NPI | 1679767578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONINA MISTAS MAGTIBAY Owner / Administrator 415-587-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |