| NPI | 1316320047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LOVIER Billing Manager 805-852-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 560038AP) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-06-13 |