| NPI | 1033567821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY DEWAN CFO 949-777-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300647AP) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-04-26 |