| NPI | 1184085565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN MCGINLEY ROY Billing Director 657-304-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300246CP) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2020-05-07 |