| NPI | 1891841607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WHEELOCK Owner 661-725-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 12-0000429) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 12-0000428) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-07 |