| NPI | 1013445147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANNE HARRIS CFO 949-887-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCW18421) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |