| NPI | 1518022979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KAUSS Director 714-771-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |