| NPI | 1104287671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY DEWAN CFO 949-833-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300297CP) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |