| NPI | 1780358168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTE WASHINGTON Co Owner, Administrator 510-640-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |