NPI 1174672265

Delopmental Client Care

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Moreno Valley, CA

Practice location

Address: 12728 Gorham St, Moreno Valley, CA 92553-5676
Phone: (951) 243-5129
Mailing address: 11751 Davis St, Moreno Valley, CA 92557-6316

Authorised official

Name: Carl E Rowe
Title: President
Phone: (951) 243-5129

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 250000634 (CA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1174672265
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.