| NPI | 1437640372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HILLARY NICHOLSON Executive Director 760-410-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2018-05-26 |