| NPI | 1477989473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PALYO Chief Executive Officer 707-575-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |