| NPI | 1669905832 |
|---|---|
| Other Name | HAYNES FP STRTP |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA JONES Strtp Assistant Director 909-593-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-01-28 |