| NPI | 1881146421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARBY ENRICO FIELDS Executive Director 909-945-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 366407025) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-01-15 |