| NPI | 1073805602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK COPPER Advisor 510-541-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |