| NPI | 1336565308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA OLGA CHUQUIMIA President/CEO 951-776-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 336408330) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 336408331) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |