| NPI | 1710171749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A PERRY Secretary/Treasurer 209-823-6061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 030000239) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2008-06-16 |