| NPI | 1205634375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MATTHEW AVDEE Compliance Director 949-412-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |