| NPI | 1093268849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER P ERICKSON Program Director 714-578-2962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300042DN) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |