| NPI | 1316430788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKLOS BAER Executive Director 805-653-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 560004JN) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |