| Organization Name: | POLINSKY CHILDREN'S CENTER |
| NPI Number: | 1295854073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MYRNA MURILLO (RESIDENTIAL CARE SUPERVISOR) |
| Mailing Address: | 8365 Broadway #12 Lemon Grove |
| State: | CA US |
| Postal Code: | 91945 |
| Phone Number: | 6198089342 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |