NPI | 1841502655 |
---|---|
Entity Type | Organization |
Authorized Contact | MYSTI MEDINA Owner 559-392-7291 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 107202360) |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 107202360) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 107203232) | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
332U00000X Home Delivered Meals | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
Enumeration Date | 2010-07-09 |
Last Update Date | 2010-07-09 |