| NPI | 1336751544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LOWE Owner 510-773-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |