| NPI | 1851526354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PETRUS Administrator 818-914-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 198205794) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |