NPI | 1063564169 |
---|---|
Doing Business As | CASA SANTA MARIA |
Entity Type | Organization |
Authorized Contact | LUCIA E NOIA Owner/CEO 559-485-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 040000366) |
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 040000366) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2024-01-26 |