| NPI | 1528714557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-05-21 |