| NPI | 1114473931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JENNINGS Owner/CFO 949-375-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300663AP) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |