| NPI | 1063700433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINER NUSBAUM Insurance Coordinator 949-235-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300228AP) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |