NPI | 1245026962 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLEE BRINEY Executive Director 949-531-1821 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-18 |