| NPI | 1477439008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN QUASHEN COO 661-705-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |