| NPI | 1326314212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A CARMINIO Managing Director 714-828-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 980001593) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 980001602) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |