| NPI | 1508900978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL J ANTONIOU Credentialing Services Manager 805-413-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 324509AB) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |