| NPI | 1194921270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS WILLIAM ARNOLD HANCK Business Development Co Owner 714-801-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300165AP) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |