| NPI | 1003208281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUREZA AGUZAR GANIO CEO 650-520-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 220000319) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |