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
3718 DIMAGGIO WAY, ANTIOCH, CA 94509-5726
(661) 434-8759
Mailing address
3718 DIMAGGIO WAY, ANTIOCH, CA 94509-5726
(661) 434-8759
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
11/04/2025
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