| NPI | 1083435564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 60678127535) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2026-04-27 |