Organization · Type 2 NPI

Diamond Lodge

Mental Illness Community Based Residential Treatment Facility · Sf, CA

NPI number 1215119375 Active

Practice location

20 Arlington St
Sf, CA 94131

Mailing address

1135 Tournament Drive
Sf, CA 94131

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1215119375

Diamond Lodge's National Provider Identifier is 1215119375, issued on Nov 30, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sf, CA. The record was last updated on Nov 30, 2007.