| NPI | 1407369267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GATES COO 949-701-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-10-26 |