| NPI | 1255767125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SEIDEL Executive Director 949-209-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: 999999) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-12-12 |