| NPI | 1952617870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONILA REALEZA PADILLA Administrator 707-655-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |