| NPI | 1588070247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ODOM CEO/Chief Clinical Officer 949-646-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-05-08 |