| NPI | 1205379435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA TAN Administrator 408-667-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 435294300) |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |