| NPI | 1669677878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMALI WARFA ATTEYEH Administrator 408-244-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 2717715) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |