| NPI | 1689174997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILSON CEO 949-498-4321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300254DP) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |