| NPI | 1689221491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL WESLEY EDWARDS CEO 949-864-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |