| NPI | 1013627041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY K HOFFMAN Managing Member 805-415-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2026-01-02 |