| NPI | 1033308812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDERSON Executive Director 510-301-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 015600744) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2021-04-05 |