Organization
T&T'S HOUSE OF CHAMPIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY PACE (ADMINISTRATOR)
(209) 475-8792
Entity
Organization
Contact information
Practice address
2115 HIGH ST, OAKLAND, CA 94601-4335
(209) 475-8792
Mailing address
6080 SILVEROAK CIR # B, STOCKTON, CA 95219-7186
(209) 475-8792
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
05/04/2021
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