| NPI | 1548668007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE THOMPSON Owner 916-685-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 546805) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |