NPI | 1811034689 |
---|---|
Doing Business As | FERGUSON PLACE |
Entity Type | Organization |
Authorized Contact | MARK GANNON Interim CEO 415-972-0852 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3855610002) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2025-08-11 |