| NPI | 1437397098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVIS HARDGRAVE Inte RN 805-479-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |