| NPI | 1174720072 |
|---|---|
| Other Name | BAY HORIZON ICF / DDH |
| Entity Type | Organization |
| Authorized Contact | PUREZA A. GANIO Licensee 650-520-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 220000319) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-01-21 |