Organization
CHALLENGER YOUTH MEMORIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE AUSTIN-TAYLOR MFT (MENTAL HEALTH CLINICIAN)
(661) 940-4120
Entity
Organization
Contact information
Practice address
5300 W AVENUE I, LANCASTER, CA 93536-8312
(661) 940-4120
Mailing address
40601 ROYAL LYTHAM CT, PALMDALE, CA 93551-5608
(661) 947-6463
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MFT36808
CA
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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