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 |