| NPI | 1720821226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HINSON Authorized Official 949-506-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-09-12 |