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 |