| 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 |