| NPI | 1548737620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM N NGWA CEO 760-616-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |