| NPI | 1639618218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L DUENSING Billing Manager 949-877-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300039AP) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-10-24 |