| NPI | 1750967972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL CAMPBELL Administrator 510-690-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-06-12 |