| NPI | 1215081229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIK BRIAN Owner 949-717-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300182AP) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-06-28 |