| NPI | 1376326967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE PARKER CEO 949-734-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-07-22 |