| NPI | 1265090518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANCIS KANUTE Vice President Of The Board 949-315-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2023-09-28 |