West Coast Posttrauma Retreat
NPI #1891728267 in San Rafael, California
Provider Information
- NPI Number
- 1891728267
- Entity Type
- Organization
- Organization Name
- West Coast Posttrauma Retreat
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4460 - 16 REDWOOD HWY
- Address 2
- SUITE 362
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-1953
- Phone
- (415) 721-9789
Authorized Official
- Name
- DR. JOEL FAY, PSY.D.
- Title
- PRESIDENT
- Phone
- (415) 720-6653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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