| NPI | 1982673315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU VELASCO Administrator/Owner 805-984-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 050000597) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |