| NPI | 1255164125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WHITT CEO 949-529-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-11-12 |