| NPI | 1235423229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD GORMAN Owner 949-515-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA G82171) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |