| NPI | 1235325408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA A BOUGH Administrator 916-806-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |