NPI | 1245613678 |
---|---|
Other Name | RSA BRO JOHNS HOUSE STRTP |
Doing Business As | RANCHO SAN ANTONIO |
Entity Type | Organization |
Authorized Contact | ZEENAT K. BURSE Contracts And Compliance Director 818-882-6400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2015-07-02 |
Last Update Date | 2024-12-05 |