| NPI | 1922334622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P WHITTY Site Director 415-459-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |