| NPI | 1871090803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA MCNEAL Administrator/Owner 209-534-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 502700165) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |