| NPI | 1881810802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WAYNE CRABLE Caseworker 805-884-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA CASO16286) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |