| NPI | 1306484860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN F HERNANDEZ CEO 949-813-5161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-05-19 |