| NPI | 1356684617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANA KELLY GILLESPIE Case Manager 916-484-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |