| NPI | 1770679417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE W SHEPHERD Owner 559-298-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 040000491) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |