NPI | 1689944365 |
---|---|
Other Name | ROOTS ACADEMY |
Entity Type | Organization |
Authorized Contact | GENEVIEVE SARAH HIGGINS REIS Clinical Supervisor 510-874-3716 |
Organization Subpart ? | No |
Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: CA 21739 LCSW) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |