NPI | 1114616570 |
---|---|
Doing Business As | EAGLE EYE- HORIZONS |
Entity Type | Organization |
Authorized Contact | LARRY HICKMAN Executive Director 510-467-4250 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2023-05-02 |
Last Update Date | 2023-05-02 |