| NPI | 1588914584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALJINDER K BASSI Lvn/Lmhw 209-381-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA VN198166) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |