| NPI | 1538910716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BEETS Director 949-933-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |