| NPI | 1689882243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY EVANS Executive Adminstrator 805-968-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 421703549) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 421703555) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-09-11 |