| NPI | 1952613812 |
|---|---|
| Other Name | MADISON PARK ACADEMY |
| Entity Type | Organization |
| Authorized Contact | HASSE LEONARD-PAGEL Director Of Clinical Programs 510-655-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 140000152) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-07-21 |