| NPI | 1699581520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAVUTOGLU Managing Member 949-873-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2026-02-10 |