| NPI | 1619279320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVET MANGAN CEO 949-645-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300221AP) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |