NPI | 1518176379 |
---|---|
Doing Business As | STONEHENGE |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-03-06 |