NPI | 1578063004 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK SMITH CEO 949-393-4070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300315IP) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-02-21 |