NPI | 1558062224 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE BAUTISTA CEO 559-704-6796 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-03-10 |