| NPI | 1205184140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANNETTE BACSIK Director 619-300-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2017-04-20 |