| NPI | 1154554038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOL FURTADO Administrator 619-442-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: CA 370802857) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |