| NPI | 1003946955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN BACUD Owner 714-368-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300180AP) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |