NPI | 1023403037 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ZONA Chief Executive Officer 949-542-8480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300309AP) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2016-01-07 |