| NPI | 1720757891 |
|---|---|
| Doing Business As | WALT'S HOME FOR YOUNG MEN 2 |
| Entity Type | Organization |
| Authorized Contact | SAMUEL CAMPBELL President/ CEO 310-930-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |