| NPI | 1417247859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ALI VAZIRIAN Owner 714-980-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: CA MFC47913) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-20 |