| NPI | 1053518779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA J MORRISSEY Executive Director 619-390-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA LTC60801F) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-02-07 |