| NPI | 1851463483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON J REGNOLDS Admin Assistant 951-279-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-02-11 |