| NPI | 1801346812 |
|---|---|
| Other Name | SGCC-NEARFIELD HOME |
| Entity Type | Organization |
| Authorized Contact | PORFIRIO RINCON CEO 626-859-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-04-25 |