| NPI | 1083044044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTENA SERRANO Program Director 949-200-7924 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300169BP) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |