| NPI | 1215470026 |
|---|---|
| Doing Business As | MOM & DAD'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | IVONNE MEADER Administrator 949-381-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2022-07-21 |