NPI | 1275210239 |
---|---|
Entity Type | Organization |
Authorized Contact | RUEBEN RAYNARD GRAJEDA Founder 714-474-8655 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-06-30 |
Last Update Date | 2024-03-11 |