| NPI | 1346772381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY QUASHEN CEO 661-713-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 197605548) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |