| NPI | 1174093017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO GRIMES Owner 949-973-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |