| NPI | 1740436096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON M MIGUEL CEO 909-556-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2009-02-27 |