| NPI | 1053829911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SMITH CEO 949-393-4070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300315GP) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |