| NPI | 1962855411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE IVES CEO 650-680-5880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-10-19 |