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Organization
R AND R EDUCATIONAL HOMES
Active
Organization
R AND R EDUCATIONAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COPPER (ADVISOR)
(510) 541-4321
Entity
Organization
Contact information
Practice address
4505 TAFT AVE, RICHMOND, CA 94804
(510) 235-3172
(510) 235-0755
Mailing address
4501 TAFT AVE, RICHMOND, CA 94804-3449
(510) 235-3172
(510) 235-0755
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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