| NPI | 1568913580 |
|---|---|
| Other Name | CCFS I COVINA |
| Entity Type | Organization |
| Authorized Contact | DOROTHEA ELNORA BUFORD-LEVELS Head Of Service 310-944-2314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2019-02-28 |