Organization · Type 2 NPI

ST Vincents

Emotionally Disturbed Childrens' Residential Treatment Facility · San Rafael, CA

NPI number 1225327786 Active

Practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Call (415) 507-2000 Map

Mailing address

154 Iris Rd
Hercules, CA 94547-1215

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1225327786

ST Vincents's National Provider Identifier is 1225327786, issued on Apr 5, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Rafael, CA. The record was last updated on Apr 5, 2011.