NPI | 1316130784 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 105270) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2025-05-21 |