Whalio Doctors

NPI 1952447765

General Assembly of the Christian Church

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Fremont, CA

Practice location

Address
4066 Bonde Way, Fremont, CA 94536-4801
Phone
(610) 608-3900
Fax
(510) 608-3914

Authorised official

Name
Ann C Stafford
Title
Chief Financial Officer
Phone
(573) 876-7302

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 020000402 (CA)

Registry record

NPI
1952447765
Entity type
Organization
NPI issued
29 Jan 2007
Record last updated
11 Jul 2008

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.