NPI | 1760916555 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK BRIAN CEO 949-370-0771 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2017-04-18 |
Last Update Date | 2024-01-11 |