| NPI | 1528298502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PARDUE President 909-623-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 191502984) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-08-26 |