| NPI | 1558754747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FENNELLY President/CEO 949-467-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-08-28 |