| NPI | 1952925190 |
|---|---|
| Other Name | FIRST LIGHT WILDERNESS THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-04-14 |