# HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588795975
- **Authorized official:** RAYLENE ROBINSON MFT (CLINICAL SUPERVISOR)
- **Authorized official phone:** (760) 961-7613

## Contact information

- **Practice address:** 21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
- **Practice address phone:** (760) 961-6718
- **Practice address fax:** (760) 961-6717
- **Mailing address:** 21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
- **Mailing address phone:** (760) 961-6718
- **Mailing address fax:** (760) 961-6717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | IMF 47669 | CA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020