Organization · Type 2 NPI

State of California - Department of Developmental Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Yuba City, CA

NPI number 1841241130 Active

Practice location

1251 Stabler Ln
Yuba City, CA 95993-2616

Fax (530) 822-3289

Mailing address

PO Box 944202, 1600 9th Street
Sacramento, CA 94244-2020

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000X150000488 (CA)
Intellectual Disabilities Intermediate Care Facility 315P00000X150000488 (CA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X150000488 (CA)
Pharmacy 333600000X150000488 (CA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

2 other providers at this address

About NPI 1841241130

State of California - Department of Developmental Services's National Provider Identifier is 1841241130, issued on May 12, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Yuba City, CA. The record was last updated on Jan 6, 2009.