CATHOLIC CHARITIES CYO NPI 1710042650

NPI Information

CATHOLIC CHARITIES CYO is a residential treatment facility emotionally disturbed children in San Rafael, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CATHOLIC CHARITIES CYO NPI is 1710042650. The provider is registered as an organization entity type.

The provider's business location address is:

1 SAINT VINCENTS DR
SAN RAFAEL, CA
ZIP 94903-504
Phone: (415) 507-2000

The provider's authorized official is Dawn Henson .
The authorized official title is Day Treatment Coordinator and has the following contact phone number (415) 507-4250.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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