| NPI | 1922295575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ CONCEPCION YPARRAGUIRRE Licensee Administrator 415-643-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |