| 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 |