| NPI | 1326313164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LONGRIDGE Owner 949-515-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300165AP) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2018-12-10 |