| NPI | 1447583927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA ESTELA CORTES Owner/Administrator 951-343-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 336407999) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |