Organization · Type 2 NPI
Lifemoves - Julian Street Inn
Mental Illness Community Based Residential Treatment Facility · San Jose, CA
NPI number
1962855411
Active
Practice location
546 W Julian St
San Jose, CA 95110-2351
Mailing address
181 Constitution Dr
Menlo Park, CA 94025-1106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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 1962855411
Lifemoves - Julian Street Inn's National Provider Identifier is 1962855411, issued on Jul 20, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in San Jose, CA. The record was last updated on Oct 19, 2016.