| NPI | 1548515794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLEE BRINEY Executive Director 949-531-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-06-14 |