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 |