| NPI | 1386170900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKAY WHITING Owner 805-228-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-12-12 |