| NPI | 1730410853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G CASSON Child Care Worker / Rehabilitation 858-366-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |