Organization
PRO YOUTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI MCREE (CEO/FOUNDER)
(818) 469-6029
Entity
Organization
Contact information
Practice address
1783 TEMPLE AVE, CAMARILLO, CA 93010-3367
(805) 388-1035
(805) 388-1062
Mailing address
28816 CONEJO VIEW DR, AGOURA HILLS, CA 91301-3367
(818) 889-0091
(818) 532-7919
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
565801695
CA
Other
Enumeration date
07/17/2016
Last updated
09/27/2016
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