| NPI | 1063942894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM TUCKER CEO 626-786-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-12-16 |