| NPI | 1659843118 |
|---|---|
| Other Name | CENTER FOR POSITIVE CHANGES STAY 1 |
| Entity Type | Organization |
| Authorized Contact | DEANNA MELLOS Director 619-248-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-01-15 |