NPI | 1336554062 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENDERSON Administrator 510-302-8951 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2014-06-20 |
Last Update Date | 2021-04-05 |