| NPI | 1154712156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE AQUINO DUNNIWAY President 209-603-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 9409) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |