| NPI | 1760658157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI ANN BRANDT CFO/Owner 916-752-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |