| NPI | 1669806089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WOLF Clinician 714-361-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 101ym0800x) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |