| NPI | 1801088059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL K ZINDANI Shift Leader 510-531-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 1q1y0800x) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |