| NPI | 1275305112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DUENSING Billing Manager 949-877-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-11-03 |