# JORDAN HOUSE OF UMOJA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083429278
- **Authorized official:** BETHENY JORDAN (VICE PRESIDENT)
- **Authorized official phone:** (925) 318-0845

## Contact information

- **Practice address:** 60 GOLD CREST CT, PITTSBURG, CA 94565-6500
- **Practice address phone:** (925) 267-2059
- **Mailing address:** PO BOX 1271, PITTSBURG, CA 94565-0127
- **Mailing address phone:** (925) 877-8446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2025
- **Last updated:** 02/12/2025