| NPI | 1588868525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINETTE M. CONOVER Therapist Intern 760-754-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 51017) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |