| NPI | 1427584671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILSON Regional Program Director 949-430-7824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |