| NPI | 1669774584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ARANA Counselor 11 408-903-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |