Pheasant Street Grove Home
NPI #1508044157 in Sf, California
Provider Information
- NPI Number
- 1508044157
- Entity Type
- Organization
- Organization Name
- Pheasant Street Grove Home
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 2056 GROVE STREET
- City
- Sf
- State
- California
- ZIP Code
- 94117
- Phone
- (415) 586-3214
Authorized Official
- Name
- MRS. JOYCE R GISLER
- Title
- OWNER ADMINISTRATOR
- Phone
- (415) 386-3214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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