| NPI | 1174950471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GIRSKIS Business Operations Specialist 949-359-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: DE 2005211229) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2020-10-19 |