| NPI | 1669605267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI M THOMASON Licensed Psychiatric Technician 408-813-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA PT22554) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-31 |