NPI | 1124204482 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE RENEE HORTON CEO Managing Director 510-205-7433 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2008-01-17 |
Last Update Date | 2008-01-17 |