NPI | 1093301848 |
---|---|
Former Legal Business Name | NEW WAY GROUP HOME |
Entity Type | Organization |
Authorized Contact | RICARDO CONTRERAS Head Of Service 805-201-7976 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 253J00000X Foster Care Agency |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-12-16 |
Last Update Date | 2022-05-11 |