| NPI | 1487729307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY SUPAPO LIZASO Administrator 760-244-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 060000555) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |