| NPI | 1225519135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GATES COO 949-701-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300312DP) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |