| NPI | 1023376142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN LENNERT Director Of Operations 714-655-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-04-21 |