Individual provider · Type 1 NPI

Blake R. Williams

Assisted Living Facility (Behavioral Disturbances) · San Francisco, CA

NPI number 1891629762 Active

Practice location

165 Guerrero St
San Francisco, CA 94103-1014

Mailing address

19414 N 25th St
Phoenix, AZ 85050-1977

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Assisted Living Facility (Behavioral Disturbances) Primary 3104A0630XNone listed

Assisted Living Facility (Behavioral Disturbances): A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Another provider at this address

About NPI 1891629762

Blake R. Williams's National Provider Identifier is 1891629762, issued on Jun 9, 2026. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in San Francisco, CA. The record was last updated on Jun 10, 2026.