| NPI | 1619330909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY DEWAN CFO 949-833-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300297FP) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 306005313) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-05-13 |