| NPI | 1801387741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HILLARY NICHOLSON Executive Director/CEO 760-998-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp |
| Additional Taxonomies | 261QM0801X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2018-05-26 |