NPI | 1093280943 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2018-10-08 |
Last Update Date | 2025-05-15 |