| NPI | 1598972622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA RENGSTORF Treasurer 559-322-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 55G566) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |