| NPI | 1649142969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEE Admin 949-359-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |