| NPI | 1487187951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PORTER Executive Director 510-719-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 015600316) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-02-23 |