| NPI | 1083163778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SNOWDEN Credentialing COO Rdinator 714-733-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |