| NPI | 1609209097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MOTLEY Director 949-642-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300012BN) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |