NPI | 1528717527 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKSON MCCARTHY CEO 714-390-4053 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-03-18 |
Last Update Date | 2023-10-02 |