| NPI | 1174066435 |
|---|---|
| Other Name | PACIFIC LODGE YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BLYTHE COTTON MALING Chief Executive Officer 323-443-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2026-07-08 |