| NPI | 1568094084 |
|---|---|
| Other Name | MILESTONE HOUSE |
| Entity Type | Organization |
| Authorized Contact | BEVERLY BOONE Executive Director 760-433-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2023-10-05 |