NPI | 1295253300 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA PHAM Compliance Officer 949-237-0893 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-07-21 |