| NPI | 1649862392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON WILSON CEO/Executive Director 760-247-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |