| NPI | 1083882658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA JANE DUTRA Bookkeeper 530-532-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 550000564) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-19 |