| NPI | 1174132807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PARK Executive Director 951-295-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |