Organization
ELPIDA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MCCORMICK PH.D. (EXECUTIVE AND CLINICAL DIRECTOR)
(415) 499-8613
Entity
Organization
Contact information
Practice address
7 MOUNT LASSEN DR, SUITE D-256, SAN RAFAEL, CA 94903-1148
(415) 499-8613
(415) 499-8620
Mailing address
7 MOUNT LASSEN DR, SUITE D-256, SAN RAFAEL, CA 94903-1148
(415) 499-8613
(415) 499-8620
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
NOT APPLICABLE
CA
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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