| NPI | 1740637065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE VAUGHN Program Director 714-639-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |