| NPI | 1578711719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR SHAHZAD Office Manager 916-974-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL A11138) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2023-08-24 |