| NPI | 1063700656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M VYROSTEK Senior Qm Manager 925-825-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ D05511203) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2015-09-17 |