| NPI | 1073183968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-01-02 |