| NPI | 1386277325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDYSSE CARLSEN COO 949-395-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-09-19 |