| NPI | 1174146658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BOYD CEO 714-642-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 225C00000X Rehabilitation Counselor | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |