NPI | 1225576549 |
---|---|
Other Name | JAY MAHLER RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-02-07 |
Last Update Date | 2023-03-01 |