Organization
PHEASANT STREET GROVE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE R GISLER (OWNER ADMINISTRATOR)
(415) 386-3214
Entity
Organization
Contact information
Practice address
2056 GROVE STREET, SF, CA 94117
(415) 586-3214
(415) 586-3214
Mailing address
2056 GROVE STREET, SF, CA 94117
(415) 586-3214
(415) 586-3214
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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