| NPI | 1417582370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIGO DAWN ALLENDORF Executive Director 949-335-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-11-16 |