| NPI | 1720796907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALLEN CONWAY CEO 209-225-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-07-29 |