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