| NPI | 1184835712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BARGMANN Vice President 909-579-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 040000495) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |