Organization
HOLLY PARK FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONCHITA RABARA BERRY (ADM AND LICENSEE)
(415) 648-8292
Entity
Organization
Contact information
Practice address
321 HOLLY PARK CIRCLE, SAN FRANCISCO, CA 94110
(415) 648-8292
(415) 648-8292
Mailing address
321 HOLLY PARK CIRCLE, SAN FRANCISCO, CA 94110
(415) 648-8292
(415) 648-8292
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
07/11/2008
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