| NPI | 1235775305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRAY Member 510-240-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |