| NPI | 1154776284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI L CASEY Phd 831-443-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |