# PRO YOUTH CENTERS

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

## Provider details

- **NPI number:** 1780037523
- **Authorized official:** MIKI MCREE (CEO/FOUNDER)
- **Authorized official phone:** (818) 469-6029

## Contact information

- **Practice address:** 1783 TEMPLE AVE, CAMARILLO, CA 93010-3367
- **Practice address phone:** (805) 388-1035
- **Practice address fax:** (805) 388-1062
- **Mailing address:** 28816 CONEJO VIEW DR, AGOURA HILLS, CA 91301-3367
- **Mailing address phone:** (818) 889-0091
- **Mailing address fax:** (818) 532-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 565801695 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2016
- **Last updated:** 09/27/2016