| NPI | 1194345041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA CONTRERAS CEO 714-333-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |