| NPI | 1023215852 |
|---|---|
| Doing Business As | CRISIS RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | STACY HART Program Director 916-737-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 347000518) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |