| NPI | 1215582234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MYERS CEO 949-481-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-12-04 |