| NPI | 1205261831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLINDA JANAL RENNIE Director 714-373-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA R0808111755) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA RAS8808954) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2014-02-04 |