| NPI | 1730056920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ZAGUIRRE Director 909-960-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |