| NPI | 1679009203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SUDYKA CEO 909-561-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 366425817) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |