| NPI | 1568132140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KHOUIE Clinical Director 949-885-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2023-04-05 |