| NPI | 1508377854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER THOMPSON Quality Assurance Director 916-967-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347006002) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347005967) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347005963) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 340317015) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 347005997) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-07-17 |