# GENERAL ASSEMBLY OF THE CHRISTIAN CHURCH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NBA SERRA CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952447765
- **Authorized official:** ANN C STAFFORD (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (573) 876-7302

## Contact information

- **Practice address:** 4066 BONDE WAY, FREMONT, CA 94536-4801
- **Practice address phone:** (610) 608-3900
- **Practice address fax:** (510) 608-3914
- **Mailing address:** 4066 BONDE WAY, FREMONT, CA 94536-4801
- **Mailing address phone:** (610) 608-3900
- **Mailing address fax:** (510) 608-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 020000402 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 07/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC60517F | — | CA |