| NPI | 1114374097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CASS CFO 949-408-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300666AP) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-05-25 |