| NPI | 1447031455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE BAHU Compliance Director 949-899-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |