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 |