| 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 |