| NPI | 1144867060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALA AZIZ Authorized Official 949-701-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-12-12 |