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 |