| NPI | 1982940383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON MONROE CEO 877-628-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: CA 300233CP) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |