| NPI | 1053512970 |
|---|---|
| Other Name | KNOTTS GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | JOYCE FOREST Clinical Q. A. Officer Social Wker 909-880-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 18119386) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |