| NPI | 1225651151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FLEMING Director 310-791-3064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |