| NPI | 1902035488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA V VIDAL Mft 1 650-372-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |