| NPI | 1497834840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADESCA DAWN SMITH Lpn 760-386-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 218428) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |