| NPI | 1124242664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LES SPOELSTRA Executive Director 909-335-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000614) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |