| NPI | 1568830081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY JOY STONE Program Director 949-294-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300325AP) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |