| NPI | 1982993440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ELLA COLEMAN Family Support Specialist 415-507-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |