| NPI | 1467217372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER BABAI SIAHDOHONI CEO 949-769-1372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |