| NPI | 1174279715 |
|---|---|
| Other Name | PALO VERDE HOUSE |
| Entity Type | Organization |
| Authorized Contact | MANDAVE SANDHU CFO 510-685-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-06-29 |