| NPI | 1811182033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIFACIA E BESTUDIO Licensee Administrator 650-755-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |