| NPI | 1124550850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY QUASHEN CEO 800-367-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 150062BD) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2018-12-11 |