| NPI | 1760194559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H MCDONALD Executive Director 949-554-3611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |