| NPI | 1780888685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE KERHULAS Campus Director 909-877-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 360908883) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |