NPI | 1700411147 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD W MITCHELL Owner 209-774-6299 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-03-05 |
Last Update Date | 2020-03-05 |