NPI 1982740783

Nba Serra Residental Center

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

Practice location

Address: 39055 Hastings St STE 211, Fremont, CA 94538-1518
Phone: (510) 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 0200520 (CA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1982740783
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 22 Aug 2020

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.