| NPI | 1023565579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIED BANIMAHD CEO 949-347-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA A100516) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-02-19 |