| NPI | 1043492358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE OTT Executive Director 707-442-2451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA LTC60058F) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |