| NPI | 1982386173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRIA MARAVILLA DUFRENNE CEO 909-210-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-30 |