| NPI | 1679086862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MERCURIO COO 949-777-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300647DP) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |