| NPI | 1730436809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CULLEN President CEO 949-400-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |