| NPI | 1730386988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BENON CEO 877-281-5204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300196AP) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-07-02 |