| NPI | 1386277747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI LYNN CAPALLA Owner 408-429-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |