| NPI | 1467713743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOSSON Licensed Psychiatric Technician 909-592-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA PT 34218) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |