NPI | 1508004979 |
---|---|
Doing Business As | CASA COLINA HOME & COMMUNITY |
Entity Type | Organization |
Authorized Contact | RODNEY PEEK Vice President 909-596-7733 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 191593695) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2009-01-23 |