| NPI | 1013676634 |
|---|---|
| Doing Business As | VIRGIL- IRVINE |
| Entity Type | Organization |
| Authorized Contact | ANDRE BAHBAH Director Of Rcm 844-991-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |