| NPI | 1639498892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN DING M PT 949-439-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA PT23120) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |