| NPI | 1710865241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN MOSER Billing Director 949-446-6280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |