| NPI | 1114115417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STRONG Administrator 510-886-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-01-16 |