NPI | 1205025970 |
---|---|
Other Name | NA |
Entity Type | Organization |
Authorized Contact | JONATHAN WALTER WEBSTER Center Director 661-631-8415 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 150040AN) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |