NPI | 1316125081 |
---|---|
Former Legal Business Name | CENTERBEST |
Entity Type | Organization |
Authorized Contact | AUBREY ANCIL KING CFO/ Medical Director 909-946-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA G56023) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA G56023) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2008-06-23 |