| NPI | 1760516702 |
|---|---|
| Other Name | R HOUSE BOY'S GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | SABRINA COYLE-JOHNSON Executive Director 707-571-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 490105716) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 490011AN) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-04-24 |