| NPI | 1376782656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA RUDAR Director 714-687-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300054IN) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |