| NPI | 1922874965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONN DMARTIN CEO 925-249-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 310400000X Assisted Living Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-03-14 |