| NPI | 1023518644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY GOOCH Owner 559-476-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |