| NPI | 1003126251 |
|---|---|
| Doing Business As | CASA PHOENIX |
| Entity Type | Organization |
| Authorized Contact | NZINGA HARRISON Chief Medical Officer 925-825-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 019200409) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 019200409) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-07-03 |