| NPI | 1023695145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHANDROW CEO 949-438-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-26 |