NPI | 1225640279 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM CLOYD Member 619-888-5114 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |