| NPI | 1366082091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER COLUMBA MOLLOY President 949-514-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |