| NPI | 1942584354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA GRAHAM Senior Psychiatric Technician 209-468-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA pt30322) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |