| NPI | 1396995072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETTA V. ROMERO President 408-270-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 550000569) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |