| NPI | 1467029090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW DAHLSTEDT COO/CFO 619-694-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |