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 | 2024-08-23 |