NPI | 1245007129 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS BEETS Director 949-933-1931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-12-11 |
Last Update Date | 2024-11-13 |