| NPI | 1093202434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HARRIS CFO 949-467-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300313AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300313CP) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300313BP) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300313DP) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300313FP) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2021-03-02 |