| NPI | 1609367366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE SMITH Executive Director 805-466-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 401703381) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |