Organization
JORDAN HOUSE OF UMOJA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHENY JORDAN (VICE PRESIDENT)
(925) 318-0845
Entity
Organization
Contact information
Practice address
60 GOLD CREST CT, PITTSBURG, CA 94565-6500
(925) 267-2059
Mailing address
PO BOX 1271, PITTSBURG, CA 94565-0127
(925) 877-8446
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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