| NPI | 1962289868 |
|---|---|
| Other Name | FULSHEAR TREATMENT TO TRANSITION |
| Entity Type | Organization |
| Authorized Contact | LAURA J BROWN VP Of Revenue Cycle Management 661-829-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-11-29 |