| NPI | 1750696852 |
|---|---|
| Doing Business As | COMMUNITY NEUROREHAB |
| Entity Type | Organization |
| Authorized Contact | STEPHEN L POLKOW President 415-209-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IA 771045) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 771045) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |