# T&T'S HOUSE OF CHAMPIONS, INC.

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

## Provider details

- **NPI number:** 1548877657
- **Authorized official:** MS. TERRY PACE (ADMINISTRATOR)
- **Authorized official phone:** (209) 475-8792

## Contact information

- **Practice address:** 2115 HIGH ST, OAKLAND, CA 94601-4335
- **Practice address phone:** (209) 475-8792
- **Mailing address:** 6080 SILVEROAK CIR \# B, STOCKTON, CA 95219-7186
- **Mailing address phone:** (209) 475-8792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 05/04/2021