| NPI | 1528277969 |
|---|---|
| Other Name | R HOUSE GIRL'S GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | MIMI G DONOHUE Executive Director 707-571-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 496800338) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 490011EN) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-01-17 |