NPI | 1134645716 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYLE MACKELVEY Supervisor 714-948-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-08-16 |
Last Update Date | 2024-11-19 |