| 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 |