| NPI | 1417739178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BRINEY Compliance Manager 805-512-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |