| 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 |