| NPI | 1649777335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON ABERNETHY Officer 949-315-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-05-02 |