| NPI | 1467817114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH D SMITH CEO/Owner 949-289-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300352AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300324AP) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-09-09 |