| NPI | 1366624132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE THOMAS Executive Director 510-482-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 010011FN) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |