| NPI | 1427895812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE JONES Administrator 714-561-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |