| NPI | 1588427595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ZHANG Fiscal Analyst 707-565-7846 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-03-14 |