| NPI | 1104151059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEHN Program Director 408-335-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 3649) |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |