| NPI | 1780008243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL D GRAY CEO 866-761-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330113AP) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |