| NPI | 1013356674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID TABRIZY Manger 949-533-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300250BP) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |