| NPI | 1316462575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BEAUCHAINE Owner 949-584-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300654BP) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |