| NPI | 1437229937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEWBOLD VP Division Director 805-963-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-03-02 |