| NPI | 1093110751 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | LUCILA DEANDA Compliance Officer/Billing Manager 760-754-5400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 2949) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-02-16 |