| NPI | 1083869366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDERJEET KAUR Mental Health Worker 916-335-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |