| NPI | 1023236049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK WIESEN CEO 916-441-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 070000532) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-06-06 |