| NPI | 1083091714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIOW-SHIN JESSICA CHEN Occupational Therapist 858-386-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA OT2615) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |