| NPI | 1992822621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICTE CAJERO Social Worker 626-859-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |