| NPI | 1386281772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LOUISE SODARO Administrator 661-487-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |