| NPI | 1508571514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VAKI Owner 510-755-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |