| NPI | 1356690192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD FIGUEROA Administrator 949-205-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: CA 137503735) |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: 137503735) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-11 |