| NPI | 1508308107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CLAY NILES Chief Operation Officer 949-521-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300650DP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300650CP) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300650BP) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |