| NPI | 1134631948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEAIRA COFFIN Office Manager 949-612-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2022-07-14 |