| NPI | 1255076873 |
|---|---|
| Former Legal Business Name | LOST COAST CHILDRENS RESIDENTIAL TREATMENT CENTER INC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANDERSON Program Development Lead 707-267-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |