| NPI | 1104188218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICHELLE AGUILAR JAMELO President 916-806-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 347003270) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |