| NPI | 1821303900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANN MCMANUS Staff Nurse 805-781-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |