DIMONDALE ADOLESCENT # 9
NPI 1700359437
Residential Treatment Facility, Emotionally Disturbed Children in Carson, CA
About Dimondale Adolescent # 9 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMONDALE ADOLESCENT # 9 (NPI 1700359437) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Carson, California and active in the NPI registry since January 2019. The organization lists Kenneth Fleming, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Other Names 1
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700359437, enumerated as an "organization" on January 04, 2019.
The provider is located at 1868 E GLADWICK ST CARSON, CA 90746 and the phone number is (310) 791-3064.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.