| 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 |