| NPI | 1932238383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE ANATOL KONDRAKHIN Administrator 831-578-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA 070000648) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2012-04-13 |