NPI | 1770029795 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MARTINEZ Program Director 949-548-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300629AP) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |