| NPI | 1881756401 |
|---|---|
| Doing Business As | CANYON MANOR |
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL EVATZ Executive Director 415-892-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 02089023) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |