| NPI | 1598254575 |
|---|---|
| Other Name | VTC COTTAGE |
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Controller 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2018-05-06 |