| NPI | 1538364054 |
|---|---|
| Other Name | HOLLOMAN |
| Entity Type | Organization |
| Authorized Contact | VERONICA L. KING Operations Manager 510-229-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 070004) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-06-17 |