| NPI | 1932343951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDERSON Executive Director 510-301-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 015650058) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2021-04-05 |