| NPI | 1114001906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT OSBORN Chief Operating Officer 510-520-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-02-22 |