| NPI | 1992053631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MICHELLE SNYDER Licensed Psych Tech 209-922-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA lp36472) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA lp36472) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |