| NPI | 1538806302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILY ELEANOR GOUGER Outpatient Operations Director 949-234-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-10-10 |