| NPI | 1205580818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE LANE Director Revenue Cycle Management 949-201-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |