| NPI | 1003008368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS SUSAN OSTERMAN Owner Administrator 530-275-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 230000272) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |