Provider Demographics
NPI:1699944678
Name:DELARCH INC
Entity type:Organization
Organization Name:DELARCH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:PUNLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-626-6384
Mailing Address - Street 1:969 BUENA VISTA WEST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117
Mailing Address - Country:US
Mailing Address - Phone:415-626-6384
Mailing Address - Fax:415-626-6372
Practice Address - Street 1:935 BUENA VISTA WEST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-626-6384
Practice Address - Fax:415-626-6372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness