| NPI | 1063791713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA KELLER Member 707-725-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 126802046) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |