| NPI | 1962005108 |
|---|---|
| Other Name | EMBARK AT THE FORGE |
| Entity Type | Organization |
| Authorized Contact | LAURA J BROWN VP Of Revenue Cycle Management 661-829-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-11-29 |