| NPI | 1043397466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G COLE Executive Director 949-366-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300084IN) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |