| NPI | 1336661057 |
|---|---|
| Doing Business As | RETREAT IN THE DESERT |
| Entity Type | Organization |
| Authorized Contact | TATYANA DEKADOKH CEO 818-606-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |