| NPI | 1447816509 |
|---|---|
| Doing Business As | LIFT OFF |
| Entity Type | Organization |
| Authorized Contact | TRINAJOY AGUILAR Director Of Operations 714-381-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2024-06-04 |