| NPI | 1588347611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAE FARLIN Executive Director 714-623-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |