NPI | 1235675646 |
---|---|
Doing Business As | MICHAEL'S YOUTH TREATMENT HOME FOR BOYS |
Entity Type | Organization |
Authorized Contact | LEONEL CONTRERAS Executive Director 760-398-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2017-01-09 |
Last Update Date | 2018-03-14 |