| NPI | 1992345193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARBY FIELDS Executive Director 909-376-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-28 |