| NPI | 1336445212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN CLARK Administrator 530-891-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: CA 550000327) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |