| NPI | 1679910715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GIRSKIS Business Operations Specialist 949-359-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-10-19 |