| NPI | 1275523292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL SMITH Business Administrator 559-454-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 040000025) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |