| NPI | 1265974018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA OCON COO 949-200-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300669AP) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2018-07-13 |