NPI | 1073071056 |
---|---|
Other Name | MITCHELL BOYS HOME INC |
Entity Type | Organization |
Authorized Contact | BOMTEA MITCHELL CEO 323-804-0476 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-03-08 |
Last Update Date | 2019-04-02 |