| NPI | 1548727464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LUSSIER Senior Corp. Director 714-619-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-04 |