| NPI | 1790265023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TICI RENEE TRULY Human Resources Director 209-466-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 390332238) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 397002552) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 397002553) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 397002554) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 390300131) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |