| NPI | 1588700264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA CAMARILLO Executive Director 650-244-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 380055BN) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-08-12 |