| NPI | 1770827461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PFEIFER CEO 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 198207391) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |