| NPI | 1275999096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FERRIGNO Billing Manager 949-356-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-10-10 |