| NPI | 1790133346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RAFFA CEO 949-201-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 200205BP) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-05-03 |