NPI | 1063697563 |
---|---|
Other Name | EGGLESTON BHS - WACO I |
Entity Type | Organization |
Authorized Contact | CASSANDRA ELAINE GIBSON-JUDKINS Assistant Executive Director 626-480-8107 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 191500940) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2008-01-02 |
Last Update Date | 2018-02-01 |