| NPI | 1356109987 |
|---|---|
| Former Legal Business Name | REBOUND SUPPORT GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRAIG JEWETT CEO 714-232-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-06-04 |