| NPI | 1942768221 |
|---|---|
| Doing Business As | KOINONIA HOMES FOR TEENS |
| Entity Type | Organization |
| Authorized Contact | BILL RYLAND Director 916-652-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2021-03-16 |