| NPI | 1023576261 |
|---|---|
| Doing Business As | RANCHO SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | KELLEY BUTLER Mental Health Director 818-882-6400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-12-05 |