| NPI | 1194561175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Director Of Billing 949-301-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-06-25 |