| NPI | 1225369135 |
|---|---|
| Other Name | SOVEREIGN HEALTH CANTERA |
| Entity Type | Organization |
| Authorized Contact | RON GIRSKIS Business Operation Specialilst 949-359-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2020-10-19 |