# CATHOLIC CHARITIES CYO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710042650
- **Authorized official:** DAWN HENSON LMFT (DAY TREATMENT COORDINATOR)
- **Authorized official phone:** (415) 507-4250

## Contact information

- **Practice address:** 1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
- **Practice address phone:** (415) 507-2000
- **Mailing address:** 180 HOWARD ST, SUITE 100, SAN FRANCISCO, CA 94105-1614
- **Mailing address phone:** (415) 972-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/22/2020