| 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 |