| NPI | 1326200817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EMERSON Owner/Administrator 530-222-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA 230000307) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |