| NPI | 1598293854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A GUILFOYLE CEO 714-492-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300378AP) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 300378AP) |
| 101YM0800X Counselor, Mental Health (Licence: CA 300378AP) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |