| NPI | 1265168470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANDI SMITH Director 661-434-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-02-09 |