| NPI | 1366212763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GATES Cco/Managing Member 949-701-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-26 |