| NPI | 1710241989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LAVIGNE Founder/Program Director 949-521-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: CA A7131111) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-09-12 |