| NPI | 1720664618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MITCHELL Associate Therapist 760-247-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-24 |