| NPI | 1588116446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MATTHEW O'NEILL Owner 949-307-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |