| NPI | 1760829485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BAUTISTA CFO 714-262-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-07-13 |