| NPI | 1841612587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAINNA LYNN DRIVER Lvn 559-600-3550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA VN242638) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |