| NPI | 1124560297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTE PERLUSS Facility Administrator 949-259-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300359AP) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-05-26 |