OrganizationActive
Cathlic Charities Cyo
NPI 1659670008 · Emotionally Disturbed Childrens' Residential Treatment Facility · San Rafael, CA
Provider details
- NPI number
- 1659670008
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thesia Davis, Program Supervisor(415) 507-2000
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 St.vincent Dr
San Rafael, CA 94903
Phone: (415) 507-2000
Street-level locationGet directions
Mailing address
18 W Lake Dr
Antioch, CA 94509-1939
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.