Whalio Doctors

NPI 1356816342

Center for Positive Changes Stay

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Spring Valley, CA

Practice location

Address
9671 Kenora Ln, Spring Valley, CA 91977-2902
Phone
(619) 741-8006
Fax
(619) 660-6604
Mailing address
9628 Campo Rd STE M, Spring Valley, CA 91977-1233

Authorised official

Name
Deanna Mellos
Title
Director
Phone
(619) 248-0552

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1356816342
Entity type
Organization
NPI issued
5 Oct 2018
Record last updated
15 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.