NPI | 1750445631 |
---|---|
Other Name | LA AMISTAD |
Doing Business As | LA AMISTAD |
Entity Type | Organization |
Authorized Contact | STEVEN FIELDS Executive Director 415-861-0828 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 380502679) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2022-11-13 |