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 |