| NPI | 1306482583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PENIX Owner 925-470-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |