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 |