| NPI | 1679030076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI MWANGI Administrator 858-386-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-09-01 |