NPI | 1417641275 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RUZINDANA Administrator 510-219-0714 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-05 |