| NPI | 1548768732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HUDNALL Executive Director 661-301-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 150406795) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-03-17 |