| NPI | 1538779871 |
|---|---|
| Doing Business As | TIFFANY'S PLACE |
| Entity Type | Organization |
| Authorized Contact | LYNN BURGARD CEO 858-248-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-11-10 |