| NPI | 1629348297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAN T AYE Owner 909-967-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 197607406) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |