| NPI | 1811167372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ARCHIBALD PARK Administrator/Owner 831-636-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CA 385H00000X) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-13 |