| NPI | 1518390483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE FRANCES CAPALLA CEO 408-582-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |