| NPI | 1083757041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O PASTOR Billing 949-493-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300118AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300118BP) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300118CP) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-07-26 |