Organization
ELPIDA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MCCORMICK (EXECUTIVE & CLINICAL DIRECTOR)
(415) 499-8613
Entity
Organization
Contact information
Practice address
7 MOUNT LASSEN DR STE C257, SAN RAFAEL, CA 94903-1154
(415) 499-8613
(415) 499-8620
Mailing address
7 MOUNT LASSEN DR STE C257, SAN RAFAEL, CA 94903-1154
(415) 499-8613
(415) 499-8620
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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