CATHLIC CHARITIES CYO – NPI #1659670008
Residential Treatment Facility, Emotionally Disturbed Children

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.

CATHLIC CHARITIES CYO is a residential treatment facility located in SAN RAFAEL, CA. NPPES has assigned the NPI number 1659670008 to CATHLIC CHARITIES CYO on March 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CATHLIC CHARITIES CYO below.

NPI Profile for
CATHLIC CHARITIES CYO

NPI Number
1659670008
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CATHLIC CHARITIES CYO
Primary location
1 ST.VINCENT DR
SAN RAFAEL, CA 94903
Phone: (415) 507-2000 Fax:
Mailing address
18 W LAKE DR
ANTIOCH, CA 94509-1939
Phone: Fax:
Organization Subpart
No
Authorized Official
THESIA DAVIS
PROGRAM SUPERVISOR
Phone: (415) 507-2000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.