NPI | 1417425604 |
---|---|
Doing Business As | THE EDGE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | AARON BAILEY General Counsel 949-298-9228 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-11-06 |
Last Update Date | 2024-03-06 |