| NPI | 1306106489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY R JAKSCH Founder Executive Director 714-960-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2013-08-16 |