| NPI | 1518095769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGDALIA HADRIAN Licensed Psychiatric Technician 559-627-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA PT 33520) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-06-25 |