| NPI | 1225504368 |
|---|---|
| Doing Business As | EAGLE OVERLOOK RECOVERY FOR ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | LEE ANN LIGON Registered Nurse 949-456-2473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |