| NPI | 1689861718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON STEELE President 559-901-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities (Licence: CA 550000276) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-01-17 |