| NPI | 1164888442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WHITT CEO 949-344-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2019-01-18 |