| NPI | 1083455976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE SHERMAN CEO 949-876-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |