| NPI | 1164787107 |
|---|---|
| Other Name | LA SERNA YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRENDA WIEWEL Executive Director 562-906-2676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 190100BN) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-11 |