| NPI | 1003307695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVETTE ELVINA TAYLOR Owner 916-236-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2018-05-20 |