| NPI | 1710042650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HENSON Day Treatment Coordinator 415-507-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 216801396) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |