| NPI | 1194309765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HILGER Chief Executive Officer 949-234-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-08-20 |