| NPI | 1134515455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CASTANON Managing Director 949-359-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2016-05-09 |