| NPI | 1558834309 |
|---|---|
| Other Name | OAK COTTAGE |
| Entity Type | Organization |
| Authorized Contact | JOELLE GOMEZ CEO 209-466-0853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-15 |