| NPI | 1174679583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EMERSON Executive Director 530-222-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |