| NPI | 1114376670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MUNCE Member 714-316-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 201534310060) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |