| NPI | 1215749833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN MOSER Billing Director 949-446-6280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |