| NPI | 1811024789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA REMI OYEWOLE Lpt 408-661-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 32240) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |