NPI | 1922280858 |
---|---|
Entity Type | Organization |
Authorized Contact | MINNIE THOMAS Executive Director 510-482-6490 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 010011fn) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |