| NPI | 1174925549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FENNELLY President & CEO 949-467-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |