| NPI | 1316130784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J BROWN VP Of Revenue Cycle Management 661-829-4060 |
| 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 | 2023-06-20 |