| NPI | 1659011625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M BRINEY Administrator 805-512-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |