| NPI | 1063564169 |
|---|---|
| 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 |