| NPI | 1417651316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FALKENTHAL Program Director 949-434-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |