| NPI | 1497220784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANTON WARD Senior Director Of Administration 510-219-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-06-20 |