| NPI | 1508935834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Reimbursement 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 02060027) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2025-05-20 |