| NPI | 1790071298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE STADLER Counselor 714-727-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |