| NPI | 1053202952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HINSON Authorized Official 949-506-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |