| NPI | 1295023679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLANA N LAQUAGLIA Care Provider 916-722-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 347003886) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |