| NPI | 1699594812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOBINA S SACKEY Operations Manager 714-864-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |