| NPI | 1295144921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI BROWN CEO 818-616-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 198208336) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 198208336) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 198208336) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-01-11 |