| NPI | 1609412063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BEESLEY Executive Director 916-782-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-09-07 |