| NPI | 1043599251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA LUCERO DE SILVA L.V.N. 650-921-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 258102) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-08 |