| NPI | 1043949456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HILGER Chief Executive Office 949-234-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-09-03 |