| NPI | 1902051857 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | ESTRELLITA DE MESA OLEA Licensee/Administrator 916-606-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 347003929) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |