| NPI | 1427459700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUNDA WARREN Adminitrator 909-630-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |