NPI | 1447842760 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BRUMBACK President 949-303-8951 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-02-08 |
Last Update Date | 2023-08-11 |