| NPI | 1477026334 |
|---|---|
| Other Name | TRIPLEX COTTAGES |
| Entity Type | Organization |
| Authorized Contact | JOELLE ANN GOMEZ CEO 209-466-0853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-16 |