| NPI | 1538363627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJEEDAH RAHMAN Executive Director 510-450-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 10017FN) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 010017DN) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |