| NPI | 1629183942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EAVL RIEKER Executive Director 213-251-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 1S19038) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 191800173) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 191801941) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |