| NPI | 1013454289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ROBLEDO ALLAN President 619-361-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 374603888) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |