| NPI | 1285194167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE TIMM Administrative Director 714-409-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-10-01 |