| NPI | 1508576240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEKA HARGROVE CEO 925-804-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |