| NPI | 1083400261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRINEY Administrator 805-512-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |