| NPI | 1164998506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA SEVERINE Clinical Director 562-618-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |