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 |