| NPI | 1477234516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE OSENDORF Program Director 714-299-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |