| NPI | 1316606957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LATINO CEO 949-422-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |