| NPI | 1760600969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHARLES COX President 951-727-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-04-28 |