| NPI | 1013046739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL WINCHESTER Director Of Health Services 916-609-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA vn170032) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |