| NPI | 1144861972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KANEAIAKALA Owner 949-463-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |