Organization
BELOVED ONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANDI SMITH (EXECUTIVE DIRECTOR)
(661) 434-8759
Entity
Organization
Contact information
Practice address
4632 DEERFIELD DR, ANTIOCH, CA 94531-7120
(661) 434-8759
Mailing address
4632 DEERFIELD DR, ANTIOCH, CA 94531-7120
(661) 434-8759
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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