| NPI | 1154817203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LAWRENCE BEAUCHAINE CEO 949-584-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 100094AP) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |