| NPI | 1649699844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BEAUCHAINE President 949-584-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-02-06 |