| NPI | 1811353576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA DEVANO President/Administrator 408-854-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NV 6087AGC-6) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |