| NPI | 1629667894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT DOWNS Executive Director 909-910-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-04-21 |