| NPI | 1598441024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR JESSICA WOODS Owner/CEO/Director 510-289-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |