| NPI | 1861801573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON AQUINO BAUTISTA President 714-827-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 198205266) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: CA 198205266) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: CA 198205266) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |