| NPI | 1699168732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KLEIN Director Of Operations 844-422-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA A112538) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-06-23 |