| NPI | 1366936825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGESH DESAI CEO 769-318-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330027AP) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-09-02 |