| NPI | 1417600164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Director Of Revenue Cycle 949-424-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-06-08 |