| NPI | 1669019360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANTON WARD Director Of Qi & General Counsel 510-219-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |