| NPI | 1003040445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUDOLPH Medical Director 949-673-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300156AP) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |