| NPI | 1962930982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA MONIQUE PATTERSON Director Of Clinical Services 909-587-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-07-08 |