NPI | 1477981447 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA KRISHNA JESSICK Executive Director 949-289-2752 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300268AP) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2018-11-20 |