| NPI | 1639690449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HITCHCOCK CEO 949-280-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |