NPI | 1780184846 |
---|---|
Doing Business As | KOINONIA HOMES FOR TEENS |
Entity Type | Organization |
Authorized Contact | BILL RYLAND Director 916-652-0171 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: CA 0554.14.01) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 0554.14) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-03-17 |