| NPI | 1942480496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MITCHELL Executive Director 805-640-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA LTC60968F) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |