| NPI | 1225688617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRI GALLOWAY Executive Director 714-300-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |