| NPI | 1639567845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RAFFA COO 949-201-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300305AP) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-10-02 |