Organization
7 ALPHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUQMAN YUSEF WATKINS (EXECUTIVE DIRECTOR)
(818) 319-0650
Entity
Organization
Contact information
Practice address
37025 LA CONTEMPO AVE, PALMDALE, CA 93550-7351
(661) 405-9792
Mailing address
223 LAKEVIEW DR, PALMDALE, CA 93551-7933
(661) 405-9792
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
10/28/2025
Last updated
11/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up