NPI 1548877657
T&t's House of Champions, INC.
Practice location
- Address
- 2115 High St, Oakland, CA 94601-4335
- Phone
- (209) 475-8792
- Mailing address
- 6080 Silveroak Cir # B, Stockton, CA 95219-7186
Authorised official
- Name
- Terry Pace
- Title
- Administrator
- Phone
- (209) 475-8792
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1548877657
- Entity type
- Organization
- NPI issued
- 23 Sep 2020
- Record last updated
- 4 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.