| NPI | 1225422066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILHITE President 949-899-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300308BP) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 300308BP) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |