| NPI | 1922526730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA DILLINGHAM Owner 661-376-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |