| NPI | 1093373540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GATES Chief Operating Officer 949-701-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |