| NPI | 1225198088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE STORM CEO 909-993-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 360910374) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |