| NPI | 1194855320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY CARLSEN CEO 949-218-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300149BP) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-03-21 |