| NPI | 1376105205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MERCURIO President 949-777-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-05-07 |