| NPI | 1891728267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL FAY President 415-720-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA Psy 18339) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |