| 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 |