| NPI | 1922463439 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | VIVIAN ROSE PRICE Administrator 925-783-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 075601569) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 075601459) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |