| NPI | 1801499785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SEYMOUR Executive Director 209-966-7095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2020-11-21 |