| NPI | 1700549953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CARTER Director 661-832-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-10-06 |