| NPI | 1023495181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Ar Reimbursement 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-11-30 |