| 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 | 2024-12-02 |