| NPI | 1194233825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON BAUTISTA Owner 949-439-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300008AP) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-01-26 |