| NPI | 1215441852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GOMES CEO 714-375-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-10-19 |