| NPI | 1609388487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARMOHINDER ATHWAL Administrator 510-651-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |