Individual provider · Type 1 NPI
Amanda Marie Oswalt, M.S.
Emotionally Disturbed Childrens' Residential Treatment Facility · San Francisco, CA
Practice location
1062 Fulton St Apt 2
San Francisco, CA 94117-1627
Mailing address
1062 Fulton St, Apt 2
San Francisco, CA 94117-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | O243-013-81-799-0 (FL) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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About NPI 1093973679
Amanda Marie Oswalt, M.S.'s National Provider Identifier is 1093973679, issued on May 30, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Francisco, CA. The record was last updated on May 30, 2008.