| NPI | 1548859556 |
|---|---|
| Doing Business As | WALT'S HOME FOR YOUNG MEN |
| Entity Type | Organization |
| Authorized Contact | SAMUEL CAMPBELL President /Director 310-930-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |