| NPI | 1811178502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE M JACOB Treasurer 415-577-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |