| NPI | 1902352461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE C MARQUEZ Executive Director 818-592-2960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 191221601) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |