| NPI | 1013674068 |
|---|---|
| Doing Business As | KEARNY VISTA PSH |
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |