NPI | 1639547896 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE LEE GRAHAM Location Manager 530-223-2332 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 506986) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2015-09-04 |