| NPI | 1952925190 |
|---|---|
| Other Name | FIRST LIGHT WILDERNESS THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAURA J BROWN VP Of Rcm 661-829-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-06-12 |