| NPI | 1508063678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT EUGENE NERO Fiscal Officer 510-848-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 011441143) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 015600490) |
| Enumeration Date | 2007-07-01 |
| Last Update Date | 2011-05-02 |