| NPI | 1588745764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAKER Chief Executive Officer 916-452-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-05-15 |