| NPI | 1013459569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL ANTHONY EDDY President 949-413-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-12-22 |