| NPI | 1518233097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NEVOSH Executive Director 805-238-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-29 |