NPI | 1255750519 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA LAWRENCE BEAUCHAINE President 949-584-5957 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA tbd) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |