| NPI | 1790807345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARIE REICHEG Skills Trainer 916-609-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-10 |