| NPI | 1124627443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LITTLETON National Clinical Director 949-244-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-04-19 |