Organization
CATHOLIC CHARITIES CYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JO ELLA COLEMAN B.A. (FAMILY SUPPORT SPECIALIST)
(415) 507-4231
Entity
Organization
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
(415) 491-0842
Mailing address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
(415) 491-0842
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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