| NPI | 1023475175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CUNNINGHAM CEO 949-835-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190880AP) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-07-19 |