| NPI | 1033682570 |
|---|---|
| Other Name | DIMONDALE ADOLESCENT #8 |
| Entity Type | Organization |
| Authorized Contact | KEN FLEMING Director 310-791-3064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2025-06-12 |