| NPI | 1790611614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN SERRANO Licensee 707-655-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-07-20 |