| NPI | 1710249461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BRIDGET OLSEN Licensed Psychiatric Technician 909-598-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 32634) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |