| NPI | 1962781724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA MARIE ALLEN Public Assistance Coordinator 650-348-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |