| NPI | 1528215894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENICHI TAKAHASHI Intern 925-639-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |