Milton Island, ACSW

NPI 1275863144 · on the registry since 2009

Practice

Address: 5300 W Avenue I
Lancaster, CA 93536
Phone: (166) 194-0405
Organisation at this address: Challenger
Challenger
Atlantic Recovery Services
Challenger Youth Memorial Center
Challenger Memorial Youth Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California