| NPI | 1750406047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MITCHELL Executive Director 805-640-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |