NPI | 1205672953 |
---|---|
Entity Type | Organization |
Authorized Contact | CASEY HUNTER Program Manager 949-678-3214 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-07-02 |
Last Update Date | 2024-07-12 |