| NPI | 1770998874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HWEY-FONG CHEN CEO 510-661-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA LAc. 9239) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |