| NPI | 1306217500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JACOBS VP Of Operations 949-345-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300630BP) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 300630BP) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-03-13 |