| NPI | 1265680953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RONALD KISNER Clinical Director 714-913-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300197AP) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |