| NPI | 1952635856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JOHNSON Licensed Clinical Supervisor 408-793-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |