| NPI | 1043625031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATY L.T. SAEL Licensee/Administrator 916-690-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: CA 347001990) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |