| NPI | 1346566767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA FOROUTAN Reimbursement Specialist 949-412-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300174AP) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |