| NPI | 1548471881 |
|---|---|
| Doing Business As | CASA DE LA VIDA |
| Entity Type | Organization |
| Authorized Contact | RUSSELL HUDLEMEYER Executive Director 510-848-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 21781570) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-06-18 |