Provider Demographics
NPI:1194387209
Name:SUNOL HILLS LLC
Entity Type:Organization
Organization Name:SUNOL HILLS LLC
Other - Org Name:OAKVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARMOHINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:ATHWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-651-5808
Mailing Address - Street 1:1658 GLEN OAK CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2256
Mailing Address - Country:US
Mailing Address - Phone:925-825-4700
Mailing Address - Fax:925-825-2610
Practice Address - Street 1:1658 GLEN OAK CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-2256
Practice Address - Country:US
Practice Address - Phone:925-825-4700
Practice Address - Fax:925-825-2610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNOL HILLS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-28
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness