| NPI | 1922973544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUQMAN YUSEF WATKINS Executive Director 818-319-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-19 |