| NPI | 1043762883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE N. COOKS Hr Director 805-937-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-12-30 |