NPI | 1184779274 |
---|---|
Other Name | CYS WAYMAKERS CHILDREN'S RESIDENTIAL PROGRAM LAGUNA BEACH |
Entity Type | Organization |
Authorized Contact | RONNETTA JOHNSON Executive Director 949-250-0488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-01-25 |
Last Update Date | 2023-10-06 |